| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| G0467 |
Federally qualified health center (fqhc) visit, established patient; a medically-necessary, face-to-face encounter (one-on-one) between an established patient and a fqhc practitioner during which time one or more fqhc services are rendered and includes a typical bundle of medicare-covered services that would be furnished per diem to a patient receiving a fqhc visit |
49,763 |
43,232 |
$3.90M |
| G0470 |
Federally qualified health center (fqhc) visit, mental health, established patient; a medically-necessary, face-to-face mental health encounter (one-on-one) between an established patient and a fqhc practitioner during which time one or more fqhc services are rendered and includes a typical bundle of medicare-covered services that would be furnished per diem to a patient receiving a mental health visit |
10,889 |
7,361 |
$1.09M |
| G0468 |
Federally qualified health center (fqhc) visit, ippe or awv; a fqhc visit that includes an initial preventive physical examination (ippe) or annual wellness visit (awv) and includes a typical bundle of medicare-covered services that would be furnished per diem to a patient receiving an ippe or awv |
3,580 |
3,506 |
$241K |
| 59426 |
|
144 |
143 |
$219K |
| G0466 |
Federally qualified health center (fqhc) visit, new patient; a medically-necessary, face-to-face encounter (one-on-one) between a new patient and a fqhc practitioner during which time one or more fqhc services are rendered and includes a typical bundle of medicare-covered services that would be furnished per diem to a patient receiving a fqhc visit |
2,345 |
2,317 |
$190K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
24,392 |
22,011 |
$69K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
14,122 |
12,920 |
$28K |
| 90460 |
Immunization administration through 18 years of age via any route, first or only component |
6,071 |
5,987 |
$21K |
| 99392 |
Periodic comprehensive preventive medicine reevaluation, established patient, early childhood (1-4 years) |
2,694 |
2,672 |
$18K |
| G0469 |
Federally qualified health center (fqhc) visit, mental health, new patient; a medically-necessary, face-to-face mental health encounter (one-on-one) between a new patient and a fqhc practitioner during which time one or more fqhc services are rendered and includes a typical bundle of medicare-covered services that would be furnished per diem to a patient receiving a mental health visit |
205 |
183 |
$16K |
| H0004 |
Behavioral health counseling and therapy, per 15 minutes |
2,962 |
2,314 |
$12K |
| 99391 |
Periodic comprehensive preventive medicine reevaluation, established patient, infant (under 1 year) |
2,642 |
2,578 |
$11K |
| 99393 |
Periodic comprehensive preventive medicine reevaluation, established patient, late childhood (5-11 years) |
1,786 |
1,759 |
$10K |
| 99204 |
Office or other outpatient visit for the evaluation and management of a new patient, moderate complexity |
279 |
277 |
$8K |
| 90471 |
Immunization administration (includes percutaneous, intradermal, subcutaneous, or intramuscular injections), 1 vaccine |
2,608 |
2,549 |
$6K |
| 36415 |
Collection of venous blood by venipuncture |
9,121 |
8,712 |
$5K |
| 96110 |
Developmental screening, with scoring and documentation, per standardized instrument |
4,290 |
4,224 |
$5K |
| 83655 |
|
1,903 |
1,870 |
$4K |
| 99394 |
Periodic comprehensive preventive medicine reevaluation, established patient, adolescent (12-17 years) |
1,182 |
1,176 |
$4K |
| 90651 |
|
227 |
225 |
$3K |
| 0012A |
|
88 |
88 |
$3K |
| 90832 |
Psychotherapy, 30 minutes with patient |
4,866 |
3,897 |
$3K |
| 87880 |
Infectious agent antigen detection by immunoassay; Streptococcus, group A |
562 |
552 |
$3K |
| 90715 |
|
424 |
411 |
$2K |
| 90677 |
|
419 |
419 |
$2K |
| 99203 |
Office or other outpatient visit for the evaluation and management of a new patient, low complexity |
607 |
594 |
$2K |
| 99212 |
Office or other outpatient visit for the evaluation and management of an established patient, straightforward |
1,958 |
1,814 |
$2K |
| 96127 |
|
2,925 |
2,749 |
$2K |
| 90472 |
Immunization administration, each additional vaccine (list separately) |
349 |
341 |
$2K |
| 0011A |
|
91 |
91 |
$2K |
| 87426 |
Infectious agent antigen detection, SARS-CoV-2 (COVID-19) |
1,327 |
1,300 |
$2K |
| 92250 |
|
165 |
164 |
$2K |
| 90688 |
|
928 |
921 |
$2K |
| 0031A |
|
82 |
81 |
$2K |
| 99395 |
Periodic comprehensive preventive medicine reevaluation, established patient, 18-39 years |
551 |
538 |
$2K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
381 |
376 |
$2K |
| 90670 |
|
1,905 |
1,880 |
$1K |
| 90658 |
|
253 |
252 |
$1K |
| 0072A |
|
35 |
34 |
$1K |
| 85018 |
|
1,818 |
1,796 |
$957.35 |
| 81025 |
|
1,027 |
1,000 |
$934.08 |
| 0004A |
|
31 |
31 |
$906.16 |
| 92551 |
|
2,625 |
2,600 |
$863.48 |
| 96372 |
Therapeutic, prophylactic, or diagnostic injection; subcutaneous or intramuscular |
292 |
283 |
$833.27 |
| 99381 |
|
133 |
130 |
$693.76 |
| 81002 |
|
1,448 |
1,380 |
$551.05 |
| 90746 |
|
26 |
23 |
$506.40 |
| 99215 |
Prolong outpt/office vis |
184 |
179 |
$492.91 |
| 0071A |
|
14 |
14 |
$452.28 |
| 92552 |
|
268 |
265 |
$442.15 |
| 90632 |
|
34 |
31 |
$415.06 |
| 90756 |
|
244 |
235 |
$405.00 |
| 59430 |
|
14 |
12 |
$344.96 |
| 90732 |
|
22 |
20 |
$323.25 |
| 99426 |
|
70 |
70 |
$312.27 |
| 90686 |
|
1,416 |
1,404 |
$301.89 |
| 96160 |
|
236 |
229 |
$275.54 |
| 99188 |
|
95 |
92 |
$263.34 |
| 90716 |
|
705 |
694 |
$193.82 |
| 90853 |
Group psychotherapy (other than of a multiple-family group) |
46 |
42 |
$180.72 |
| 90707 |
|
655 |
646 |
$170.15 |
| 99202 |
Office or other outpatient visit for the evaluation and management of a new patient, straightforward |
24 |
24 |
$169.77 |
| 93000 |
|
45 |
44 |
$166.65 |
| G2025 |
Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only |
167 |
137 |
$138.23 |
| 99000 |
|
45 |
45 |
$120.05 |
| 82948 |
|
230 |
220 |
$115.92 |
| 90834 |
Psychotherapy, 45 minutes with patient |
311 |
264 |
$103.80 |
| 36416 |
|
706 |
700 |
$98.84 |
| 86580 |
|
30 |
26 |
$38.72 |
| 99406 |
|
27 |
27 |
$32.48 |
| 82962 |
|
171 |
167 |
$27.10 |
| 90744 |
|
774 |
765 |
$0.00 |
| 3074F |
|
882 |
867 |
$0.00 |
| 90680 |
|
199 |
199 |
$0.00 |
| 3075F |
|
463 |
461 |
$0.00 |
| 3079F |
|
730 |
717 |
$0.00 |
| 3080F |
|
291 |
280 |
$0.00 |
| 90697 |
|
325 |
324 |
$0.00 |
| 90698 |
|
1,341 |
1,321 |
$0.00 |
| 91307 |
|
53 |
48 |
$0.00 |
| S0281 |
Medical home program, comprehensive care coordination and planning, maintenance of plan |
1,787 |
1,609 |
$0.00 |
| S0280 |
Medical home program, comprehensive care coordination and planning, initial plan |
13 |
13 |
$0.00 |
| G0008 |
Administration of influenza virus vaccine |
26 |
26 |
$0.00 |
| 99383 |
|
14 |
13 |
$0.00 |
| 91301 |
|
194 |
193 |
$0.00 |
| 90381 |
|
13 |
13 |
$0.00 |
| 88720 |
|
15 |
15 |
$0.00 |
| 91303 |
|
79 |
78 |
$0.00 |
| 90620 |
|
14 |
14 |
$0.00 |
| 90461 |
|
3,402 |
3,357 |
$0.00 |
| 0502F |
|
802 |
522 |
$0.00 |
| 90633 |
|
908 |
902 |
$0.00 |
| 99173 |
|
1,842 |
1,820 |
$0.00 |
| 3078F |
|
943 |
927 |
$0.00 |
| 3077F |
|
657 |
625 |
$0.00 |
| 90681 |
|
389 |
382 |
$0.00 |
| 90685 |
|
53 |
49 |
$0.00 |
| 90734 |
|
158 |
158 |
$0.00 |
| H0005 |
Alcohol and/or drug services; group counseling by a clinician |
230 |
120 |
$0.00 |
| Q2037 |
Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (fluvirin) |
12 |
12 |
$0.00 |
| 59025 |
Fetal non-stress test |
23 |
12 |
$0.00 |
| 90700 |
|
40 |
40 |
$0.00 |
| 99211 |
Office or other outpatient visit for the evaluation and management of an established patient, minimal severity |
40 |
38 |
$0.00 |
| 90837 |
Psychotherapy, 53 minutes with patient |
27 |
12 |
$0.00 |
| 91300 |
|
43 |
42 |
$0.00 |
| 90662 |
|
15 |
15 |
$0.00 |
| 90648 |
|
12 |
12 |
$0.00 |